Individual provider Active NPI

Giovanna A Baldarrago, M.D.

  • General Practice Physician
  • Hollywood, FL
National Provider Identifier
1265633994
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1206 Issued in FL
Practice address
2600 Van Buren St
Hollywood, FL 33020-4818
Phone
(954) 927-0108
Fax
(954) 927-0206
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1206 FL Primary

Addresses

Primary practice location

2600 Van Buren St
Hollywood, FL 33020-4818

Mailing address

5440 NW 107TH Ave Apt 209
Doral, FL 33178-4919
Phone (786) 426-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200228002235 FL Practitioner - General Practice 8921435041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Healthcare Centers, LPGroup PAC ID 5294064176, 12 clinicians

Practice addresses (Care Compare)

2600 Van Buren St
Hollywood, FL 33020-4818
Phone (954) 927-0108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1206FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Centers, LP CurrentSince May 20, 2024 Accepting new patients
Ian Family Medicine Inc PastSince Nov 1, 2019 Accepting new patients
Van Buren Medical Center, Inc. PastSince May 20, 2024 Accepting new patients

Locations

1874 W Hillsboro Blvd
Ste F
Deerfield Beach, FL 33442
Phone (954) 426-4544

2600 Van Buren St
Hollywood, FL 33020
Phone (954) 927-0108

4330 Sheridan St
Ste 201B
Hollywood, FL 33021
Phone (954) 519-2201

Interoperability endpoints

  • Direct secure messaging: giovanna.baldarrago.1@4307.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1265633994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 NW 107TH AVE APT 209",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784919",
            "telephone_number": "786-426-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204818",
            "telephone_number": "954-927-0108",
            "fax_number": "954-927-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDARRAGO",
        "first_name": "GIOVANNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.